[Laparoscopic surgical repair of surgical complication of laparoscopy in gynecology. Experiences at the Paul Gellé de Roubaix Center from 1992 to 1995].
From 1992 to 1995, 1565 laparoscopic operations were performed in Roubaix. We report on six complications.


OBJECTIVE
To compare this figure with these of the French collaborative study done from 1987 to 1991 by seven departments known for their laparoscopic activity, including Roubaix.


RESULTS
The trends are good. The rate of injuries was stable in spite of increasingly complex procedures. The largest portion of visceral and even vascular injuries were repaired by laparoscopy reducing by the same amount use of laparotomy.


CONCLUSIONS
Strict adherence to safety guidelines and specific training of surgeons reduce the need of laparotomy for laparoscopic complication.
Charvolin
J Y
JY
Clinique Universitaire de Gynécologie-Obstétrique, Pavillon Paul Gellé, Roubaix.
Querleu
D
D
Lanvin
D
D
Cosson
M
M
Dubecq
F
F
D016063:Blood Loss, Surgical; D001808:Blood Vessels / Q000293:injuries; D002983:Clinical Competence; D004715:Endometriosis / Q000601:surgery; D005260:Female; D005602:France; D013502:General Surgery / Q000193:education; D005836:Genitalia, Female / Q000601:surgery*; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery; D006488:Hemostasis, Surgical; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects*; D007813:Laparotomy; D008022:Ligaments / Q000293:injuries / Q000601:surgery; D009775:Obstetrics and Gynecology Department, Hospital; D010048:Ovarian Cysts / Q000601:surgery; D010052:Ovariectomy / Q000009:adverse effects; D012002:Rectal Diseases / Q000601:surgery; D012449:Safety; D014513:Ureter / Q000293:injuries / Q000601:surgery; D001743:Urinary Bladder / Q000293:injuries / Q000601:surgery; D014623:Vaginal Diseases / Q000601:surgery
Réparation coeliochirurgicale des complications opératoires de la coelioscopie en gynécologie. Expérience du pavillon Paul Gellé de Roubaix de 1992 à 1995.